New Faculty Bio Submission Form

Name/Title as it should appear publicly*

(i.e. Dr. Amelia K. Hausauer, MD)
Certification*

(i.e. BOARD CERTIFIED DERMATOLOGIST)
Short Introduction/Elevator Pitch (450-500 characters)*
(i.e. A visionary and thought leader in the field of minimally invasive aesthetics, Dr. Amelia K. Hausauer is the Director of Dermatology of Aesthetx, a premier plastic surgery and dermatology practice located in the heart of Silicon Valley, Northern California.)
Long Bio Text*
Long Bio Here. Make sure to submit only proofed text. This should be approximately 300 words or around 2200 Characters. Not set in stone, but too much more or less will break the current format. If you have to err on one side, it's better to err with more.
Website Links/URLs to Clinicals or Journals or articles by Faculty Member*

Please ensure that links work before submitting.
News or Media Links/URLs*

Please ensure that links work before submitting.
When possible, please include any numeric milestones

(ie. 11+ Published Articles, 500+ PRP Facial Procedures, 500+ PRP Hair Restoration Procedures. )
Testimonials*
Please enter any testimonials that you'd like included on the bio detail page. Make sure to include Testimonial Author name.
Faculty Photo/Headshot*
Drop files here or

Accepted file types: jpg, jpeg, png, Max. file size: 150 MB.
Please upload a headshot photo that is at least 600px wide.

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